Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4183 of 11K

E0572

HCPCS Procedure Code

HCPCS code E0572 is the #4,183 most-billed Medicaid procedure code, with $778K in payments across 4K claims from 2018–2024. The national median cost per claim is $223.97.

Total Paid

$778K

0.00% of all spending

Total Claims

4K

Providers

2

Avg Cost/Claim

$201

National Cost Distribution

How much do providers bill per claim for E0572? Based on 2 providers billing this code nationally.

Median

$223.97

Average

$223.97

Std Dev

$36.01

Max

$249.44

Percentile Distribution (Cost per Claim)

p10
$203.60
p25
$211.24
Median
$223.97
p75
$236.71
p90
$244.35
p95
$246.89
p99
$248.93

50% of providers bill between $211.24 and $236.71 per claim for this code.

90% bill between $203.60 and $244.35.

Top 1% bill above $248.93.

About This Procedure

HCPCS code E0572 was billed by 2 providers across 4K claims, totaling $778K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$223.97

Providers Billing

2

National Spending

$778K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.